NPIMap

Organization Active NPI

Dale M Remerscheid DDS PA

  • General Practice Dentistry
  • Bentonville, AR
National Provider Identifier
1487023834
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2811 Issued in AR
Legal business name
DALE M REMERSCHEID DDS PA
Practice address
3109 N Walton Blvd
Bentonville, AR 72712-3944
Phone
(479) 273-3800
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dale Micheal Remerscheid, DDSNPI 1427122522
Title
Ceo
Phone
(479) 273-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2811 AR Primary

Addresses

Primary practice location

3109 N Walton Blvd
Bentonville, AR 72712-3944

Mailing address

3109 N Walton Blvd
Bentonville, AR 72712-3944
Phone (479) 273-3800

National Provider Directory

National Provider Directory

Locations

3109 N Walton Blvd
Bentonville, AR 72712
Phone (479) 273-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1487023834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 N WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123944",
            "telephone_number": "479-273-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 N WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123944",
            "telephone_number": "479-273-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE M REMERSCHEID DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "REMERSCHEID",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-273-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.